STEPHEN SPEED

ALOHA, OR
NPI1528647286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-19-214)
Enumeration Date2021-04-07
Last Update Date2024-09-20
Business Address
STEPHEN SPEED CADC I
4585 SW 185TH AVE
ALOHA, OR 97078-1557
Phone number: 503-591-9280
Mailing Address
STEPHEN SPEED CADC I
4585 SW 185TH AVE
ALOHA, OR 97078-1557
Phone number: 503-591-9280